Individual provider Active NPI

Jackie M Hinzman, PA- C

  • Medical Physician Assistant
  • Lincoln, NE
National Provider Identifier
1922073618
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1214 Issued in NE
Practice address
300 N 44TH St Ste 102
Lincoln, NE 68503-3415
Phone
(402) 946-0001
Fax
(402) 423-0397
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 138819 IA
Medical Physician Assistant 363AM0700X 1214 NE Primary
Surgical Physician Assistant 363AS0400X 1214 NE

Addresses

Primary practice location

300 N 44TH St Ste 102
Lincoln, NE 68503-3415

Mailing address

3901 W Springview Rd
Lincoln, NE 68522-8742
Phone (402) 419-1500

Other practice location 1

1300 37th St Ste 1
West Des Moines, IA 50266-1900
Phone (402) 419-1500

Other identifiers 2

IdentifierTypeStateIssuer
91177983268510A018OtherNETRI CARE
247113OtherNEMIDLANDS CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heart & Health Solutions PC Past Accepting new patients
Nebraska Orthopaedic Center PC Medical Past Accepting new patients
LMMC Lincoln, LLC Past Accepting new patients
The Express Clinic, LLC Past Accepting new patients
Nebraska Heart Institute PC Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1922073618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 W SPRINGVIEW RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685228742",
            "telephone_number": "402-419-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 44TH ST STE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685033415",
            "telephone_number": "402-946-0001",
            "fax_number": "402-423-0397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 37th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502661900",
            "country_code": "US",
            "telephone_number": "402-419-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINZMAN",
        "first_name": "JACKIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA- C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "138819",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1214",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NE",
            "license": "1214",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI CARE",
            "identifier": "91177983268510A018",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "247113",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.